Reliance Capital Asset Management Limited

A Reliance Capital Company

COMMON APPLICATION FORM
(To be filled in CAPITAL letters) APP No.:

1. DISTRIBUTOR / BROKER INFORMATION (Refer Instruction No. I.9)

Name & Broker Code / ARN Sub Agent ARN Code Sub Agent Code *Employee Unique Identification Number
SIGN HERE
First / Sole Applicant /
Guardian
ARN- (ARN stamp here) ARN-
SIGN HERE Second Applicant
*Please sign alongside in case the EUIN is left blank/not provided.
I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this transaction is executed without any interaction or advice by the employee/relationship manager/sales SIGN HERE Third Applicant
person of the above distributor/sub broker or notwithstanding the advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor/sub broker.

(Please tick (P)any one) I am a First time investor across Mutual Funds OR I am an existing investor in Mutual Funds

2. UNITHOLDING OPTION - DEMAT MODE PHYSICAL MODE

DEMAT ACCOUNT DETAILS - These details are compulsory if the investor wishes to hold the units in DEMAT mode. Ref. Instruction No. XI.
Please ensure that the sequence of names as mentioned in the application form matches with that of the account held with any one of the Depository Participant.
National Depository Central Depository
Securities participant Name ________________________________________ Depository participant Name _________________________________________
Depository DP ID No. Securities
I N
Limited
Limited
BeneficiaryAccountNo. Target ID No.

Enclosures (Please tick any one box): Client Master List (CML) Transaction cum Holding Statement Cancelled Delivery Instruction Slip (DIS)

(If you have an existing folio number with KYC validated, please mention the number
3. EXISTING INVESTOR'S FOLIO NUMBER here and proceed to section 11. Mode of holding will be as per existing folio number.)

4. GENERAL INFORMATION APPLICATION FOR Zero Balance Folio Invest Now ^MODE OF HOLDING : (Default)

5. FIRST APPLICANT DETAILS

NAME

PAN / PEKRN^ (First Applicant) PAN / PEKRN^ (Guardian)

Name of Guardian if first applicant is minor /

Contact Person for non individuals

Guardian’s Relationship With Minor Proof of Date of Birth and Guardian’s Relationship with Minor
Date of Birth
D D M M Y Y Y Y Passport
Father Mother Court Appointed Guardian of 1st Applicant Birth Certificate Others (please specify)

OCCUPATION**^ : Agriculturist Retired Government Service/Public Sector

Forex Dealer Private Sector Service

STATUS^ : Resident Individual Trust / Charities / NGOs

FI / FII Defence Establishment
FPI^^^
(^^^as and when applicable)

GROSS ANNUAL INCOME DETAILS**^ Please tick ( ) Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs 25 Lacs-1 Crore >1 Crore

Equity & Sector Specific CAF / 16th March 2016 / Ver 1.13
NET-WORTH**^ in `__________________________________________________________________________
(Net worth should not be older than 1 year) as on (Date) D D M M Y Y Y Y (Mandatory for Non Individuals)

Are you a Politically Exposed Person (PEP)**^ Yes No Are you related to a Politically Exposed Person (PEP)**^ Yes No
Are you involved / providing any of the mentioned services : Foreign Exchange / Money Changer Services Gaming / Gambling / Lottery / Casino Services
(Applicable only for Non Individuals) Money Lending / Pawning None of the above
Note: In case First Applicant is Non Individual please attach FATCA, CRS & Ultimate Beneficial Ownership (UBO) Self Certification Form (Ref Ins No. XIV)
**In case First Applicant is Minor then details of Guardian will be required.

6. SECOND APPLICANT DETAILS

NAME PAN / PEKRN^

OCCUPATION^ : Agriculturist Retired Government Service/Public Sector STATUS^: NRI

Forex Dealer Private Sector Service Resident Individual

GROSS ANNUAL INCOME DETAILS**^ Please tick ( ) Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs 25 Lacs-1 Crore >1 Crore

NET-WORTH**^ in `__________________________________________________________________________
(Net worth should not be older than 1 year) as on (Date) D D M M Y Y Y Y

Are you a Politically Exposed Person (PEP)**^ Yes No Are you related to a Politically Exposed Person (PEP) Yes No

ACKNOWLEDGMENT SLIP APP No.:

Received from Mr/Ms/M/s : _______________________________________________________________an application for allotment of

Units under Scheme Reliance ________________________________ Option _____________as per details below.
Instrument No/Cash Deposit Slip No. ____________ Dated ___________ Rs. _______________ drawn on Bank ___________________ Time Stamp & Date
of receiving office

Corporate Office Address: Reliance Centre, 7th Floor, South Wing, Off Western Express Highway, Santacruz (East), Mumbai - 400 055.
7. THIRD APPLICANT DETAILS

NAME PAN / PEKRN^

OCCUPATION^ : Agriculturist Retired Government Service/Public Sector STATUS^: NRI

Forex Dealer Private Sector Service Resident Individual

GROSS ANNUAL INCOME DETAILS**^ Please tick ( ) Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs 25 Lacs-1 Crore >1 Crore

NET-WORTH**^ in `__________________________________________________________________________
(Net worth should not be older than 1 year) as on (Date) D D M M Y Y Y Y

Are you a Politically Exposed Person (PEP)**^ Yes No Are you related to a Politically Exposed Person (PEP) Yes No
^Mandatory for all type of Investors. It is mandatory for investors to be KYC compliant through a Key Registered Agency (KRA) appointed by SEBI prior to investing in
Reliance Mutual Fund. Refer instruction no.II. 6, 7 & X

8. FATCA and CRS DETAILS For Individuals/HUF (Mandatory) Non Individual Investors should mandatory fill separate FATCA/CRS details form
# Please indicate all Countries, other than India, in which you are a resident for tax purpose, associated Taxpayer Identification Number and it's Identification type eg. TIN etc.
Sole/First Applicant/Guardian Second Applicant Third Applicant
Tax Identification Identification Tax Identification Identification Tax Identification Identification
Country # Country # Country #
Number Type Number Type Number Type
1 1 1

2 2 2

3 3 3
In case Country of Tax Residence is only India then details of Country of Birth & Nationality need not be provided. % In case Tax Identification Number is not available, kindly provide its functional equivalent $

Sole/First Applicant/Guardian Second Applicant Third Applicant

Country of Birth Country of Birth Country of Birth
Country of Nationality Country of Nationality Country of Nationality

9. CONTACT DETAILS OF SOLE / FIRST APPLICANT (Refer Instruction No. VII & IX)
## Correspondence Address (P.O. Box is not sufficient) ##
Please note that your address details will be updated as per your KYC records with CVL / KRA

Landmark

City Pin Code State

Email ID

Mobile + (Country Code) Tel. No. STD Code Office Residence

Please register your Mobile No & Email Id with us to get instant transaction alerts via SMS & Email. Investors providing Email Id would mandatorily receive only E - Statement of Accounts in lieu of physical Statement of Accounts.
10. BANK ACCOUNT DETAILS MANDATORY for Redemption/Dividend/Refunds, if any (Refer Instruction No. III)

Bank Name M a n d a t o r y

Account No. M a n d a t o r y A/c. Type ( ) SB Current NRO NRE FCNR

BranchAddress Branch City

Equity & Sector Specific CAF / 16th March 2016 / Ver 1.13
PIN IFSC Code F o r C r e d i t v i a R TG S 9 Digit MICR Code* For Credit via NEFT

Please ensure the name in this application form and in your bank account are the same. Please update your IFSC and MICR Code in order to get payouts via electronic mode in to your bank account.
11. INVESTMENT & PAYMENT DETAILS (Separate Application Form is required for investment in each Plan/Option. Multiple cheques not permitted with single
application form (Refer instruction no. IV) OTM facility is available to investors who have Invest Easy facility registered with RMF.

Scheme (Refer Instruction No. I-10) (For Product Labeling please refer last page of application form)
(If you wish to invest in Direct Plan please mention Direct Plan against the scheme name)
Option (Please ) Growth^^ Dividend Payout Dividend Reinvestment Dividend Frequency
Payment Details (Please issue cheque favouring scheme name)
$
Mode of Payment OTM Facility (One Time Bank Mandate) Cheque DD Funds Transfer RTGS / NEFT Cash (Refer Instruction No. XV)

Investment Amount (Rs.) I DD Charges (if applicable) (Rs.) II Net Amount~ (Rs.) I minus II

Instrument No/Cash Deposit Slip No. Dated D D M M Y Y Y Y Drawn on Bank

Bank Branch City
$
(^^ Default option if not selected) ~Units will be allotted for the net amount minus the transaction charges if applicable. Investors are requested to collect the cash deposit slip from the DISC

Add convenience to your life with our value added service

Simply send **SMS to 966 400 1111 to avail below facilities
SMS Types of Facilities Single Folio Multiple Folio
Investor Desk. A RMF Virtual Branch Experience.
NAV SMS mynav SMS mynav <space> last 6 digits of folio
Balance SMS Balance SMS balance <space> last 6 digits of folio For more details : Visit : www.reliancemutual.com
Last 3 Transaction SMS Transaction SMS txn <space> last 6 digits of folio
Statement thru mail SMS ESOA SMS ESOA <space> last 6 digits of folio
You can also follow us on
**SMS charges apply
 12. NOMINATION - I wish to Nominate Yes No (Mandatory if mode of holding is single) (Refer Instruction No. VI)
In case of existing investor, nomination details mentioned in the below table will replace the existing details registered in the folio
Guardian Name Date of Birth Allocation Sign of Sign of Signature of
Nominee Name
(in case Nominee is Minor) of Minor (%) Nominee Guardian Applicants
1st App.

2nd App.

3rd App.

13. POWER OF ATTORNEY (POA) HOLDER DETAILS (Refer Instruction No. II. 1)
First Applicant POA Name Mr./Ms./M/s PAN^

Second Applicant POA Name Mr./Ms./M/s PAN^

Third Applicant POA Name Mr./Ms./M/s PAN^

14. SIP ENROLLMENT DETAILS Opted for SIP: Yes No (Incase you have opted for SIP it is mandatory to submit SIP Enrolment Form)

15. STP ENROLLMENT DETAILS Opted for STP: Yes No (Incase you have opted for STP it is mandatory to submit STP Enrolment Form)

16. I WISH TO APPLY FOR TRANSACT ONLINE Yes No OR I WISH TO APPLY FOR INVEST EASY FOR INDIVIDUALS Yes No
(Mandatory Enclosure : ONE TIME BANK MANDATE REGISTRATION FORM)

17. DECLARATION AND SIGNATURE

I/We would like to invest in Reliance_____________________________ subject to terms of the Statement of Additional Information (SAI), Scheme Information Document (SID), Key Information Memorandum (KIM) and
subsequent amendments thereto. I/We have read, understood (before filling application form) and is/are bound by the details of the SAI, SID & KIM including details relating to various services including but not limited to
Reliance Any Time Money Card. I/We have not received nor been induced by any rebate or gifts, directly or indirectly, in making this investment. I / We declare that the amount invested in the Scheme is through legitimate
sources only and is not designed for the purpose of contravention or evasion of any Act / Regulations / Rules / Notifications / Directions or any other Applicable Laws enacted by the Government of India or any Statutory
Authority. I accept and agree to be bound by the said Terms and Conditions including those excluding/ limiting the Reliance Capital Asset Management Limited (RCAM) liability. I understand that the RCAM may, at its absolute
discretion, discontinue any of the services completely or partially without any prior notice to me. I agree RCAM can debit from my folio for the service charges as applicable from time to time. The ARN holder has disclosed to
me/us all the commissions (in the form of trail commission or any other mode), payable to him for the different competing Schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/us. I
hereby declare that the above information is given by the undersigned and particulars given by me/us are correct and complete. Further, I agree that the transaction charge (if applicable) shall be deducted from the subscription
amount and the said charges shall be paid to the distributors. I/We hereby confirm that I /We are not United States persons within the meaning of Regulation (S) under the United States Securities Act of 1933, or as defined by

Equity & Sector Specific CAF / 16th March 2016 / Ver 1.13
the U.S. Commodity Futures Trading Commission, as amended from time to time or residents of Canada.
I confirm that I am resident of India.
I/We confirm that I am/We are Non-Resident of Indian Nationality/Origin and I/We hereby confirm that the funds for subscription have been remitted from abroad through normal banking channels or from
funds in my/our Non-Resident External /Ordinary Account/FCNR Account. I/We undertake that all additional purchases made under this folio will also be from funds received from abroad through approved
banking channels or from funds in my/ our NRE/FCNR Account.
I have read and understood Instruction no. XIII and hereby agree to abide by the same. I hereby declare that the information provided in the Form is in accordance with section 285BA of the Income Tax Act,
1961 read with Rules 114F to 114H of the Income Tax Rules, 1962 and the information provided by me /us in the Form, its supporting Annexures as well as in the documentary evidence provided by me/us are, to
the best of our knowledge and belief, true, correct and complete.

x First / Sole Applicant / x Second Applicant x Third Applicant

Guardian

ONE TIME BANK MANDATE Reliance Capital Asset Management Limited

(NACH / Direct Debit Mandate Form) A Reliance Capital Company
(Applicable for Lumpsum Additional Purchases as well as SIP Registration)
APP No.

UMRN (For Office Use Only) D D M M Y Y Y Y

Sponsor Bank Code (For Office Use Only)

_______________________________________ Utility Code (For Office Use Only)
______________________________________________
Create
Reliance Mutual Fund
I/We hereby authorize _______________________ to debit (tick ) SB CA CC SB-NRE SB-NRO Other
Modify x

Cancel x
Bank A/c no: (Destination Bank Account Number)

(Name of Destination Bank with Branch)

With Bank _____________________________________________ IFSC or MICR
an amount of Rupees _________________________________________________________________________________ `
FREQUENCY: x Monthly x Quarterly x Half Yearly x Yearly as & when presented DEBIT TYPE x Fixed Amount Maximum Amount

Reference / Folio No. ______________________________ Email ID: _____________________________________________________________________

All schemes of Reliance Mutual Fund
Scheme / Plan reference Number : ________________________________ Phone No: _____________________________
I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of the bank.

PERIOD
From : D D M M Y Y Y Y 1 ________________________________ 2 ________________________________ 3 ________________________________
Signature of Account Holder Signature of Account Holder Signature of Account Holder
To: 3
D D1 1
M 2
M 2
Y 0
Y 9 9
Y Y
1 ________________________________ 2 ________________________________ 3 ________________________________
Or Until Cancelled
Name of Account Holder Name of Account Holder Name of Account Holder
This is to confirm that the declaration (as mentioned overleaf) has been carefully read, understood & made by me / us. I am authorizing the User Entity / Corporate to debit my account, based on the instructions as agreed and signed by me.
I have understood that I am authorized to cancel / amend this mandate by appropriately communicating the cancellation / amendment request to the User entity / Corporate or the bank where I have authorized the debit.